MS. Mary Anne Lisa Costerella, MA, LADC
MS. Mary Anne Lisa Costerella, MA, LADC is an Addiction (Substance Use Disorder) Counselor in Glastonbury, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.
- Licensed in
- CT
- In the registry since
- 2008
What do these letters mean?
Practice location Address checks out
110 National DrGlastonbury, CT 06033-4371
Phone: (860) 657-8910
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence #000527 (CT) |
|---|
Record details
| NPI number | 1326212143 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MA , LADC |
| Sole proprietor | Yes |
| NPI enumerated | April 14, 2008 |
| Last updated in NPPES | April 8, 2024 |
| Certification date | April 8, 2024 |
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